Organization Active NPI

Christian Recovery Counseling

  • Mental Health Counselor
  • Bellevue, WA
National Provider Identifier
1992161350
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 00011043 Issued in WA
Legal business name
CHRISTIAN RECOVERY COUNSELING
Practice address
330 112TH Ave NE, Ste 302
Bellevue, WA 98004
Phone
(425) 289-9589
Fax
(425) 576-0654
NPI assigned
Jan 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christopher A Chandler, MA, LMHC
Title
Member Manager
Phone
(425) 289-9589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LH 00011043 WA Primary

Addresses

Primary practice location

330 112TH Ave NE, Ste 302
Bellevue, WA 98004

Mailing address

2820 Northup Way
Ste 105
Bellevue, WA 98004
Phone (425) 289-9589

National Provider Directory

National Provider Directory

Locations

2820 Northup Way
Ste 105
Bellevue, WA 98004
Phone (425) 822-8153

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1992161350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 NORTHUP WAY",
            "address_2": "STE 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-289-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 112TH AVE NE, STE 302",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-289-9589",
            "fax_number": "425-576-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN RECOVERY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "14252899589",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 00011043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.